Laserfiche WebLink
Page 5 of 5 <br /> Division records indicate the following permittee contact information. If this information is not current,please type or print <br /> current contact information: <br /> Permittee Contact: Trent Stafford <br /> Permittee Company: Seifert Enterprises, LLC <br /> Address: 198 Rangeview Loop <br /> Westcliffe,CO 81252 <br /> Phone Number: (719)783-2757 <br /> Fax Number: <br /> Email Address: Ap.admin@sbcompanies.com <br /> I,the undersigned,hereby state that the information provided in this report is true and accurate, and that site operations are <br /> being conducted in accordance with the Division approved mining and reclamation plans. <br /> Signature of Permittee,Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />